Individual provider Active NPI

Caitlin E. Heindl, DPT

  • Physical Therapist
  • Haverhill, MA
National Provider Identifier
1396261970
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23097 Issued in MA
Practice address
679 S Main St
Haverhill, MA 01835-8721
Phone
(978) 372-3211
Fax
(978) 372-3212
NPI assigned
Aug 16, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23097 MA Primary

Addresses

Primary practice location

679 S Main St
Haverhill, MA 01835-8721

Mailing address

Gemini Physical Therapy LLC
679 S Main Street
Haverhill, MA 01835-8721
Phone (978) 372-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009000349 MA Practitioner - Physical Therapist in Private Practice 0143595751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gemini Physical Therapy LLCGroup PAC ID 7911167556, 4 clinicians

Practice addresses (Care Compare)

679 S Main St
Haverhill, MA 01835-8721
Phone (978) 372-3211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23097MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gemini Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2017 Accepting new patients

Locations

679 S Main St
Haverhill, MA 01835
Phone (978) 372-3211

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396261970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GEMINI PHYSICAL THERAPY LLC",
            "address_2": "679 S MAIN STREET",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018358721",
            "telephone_number": "978-372-3211",
            "fax_number": "978-372-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 S MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018358721",
            "telephone_number": "978-372-3211",
            "fax_number": "978-372-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINDL",
        "first_name": "CAITLIN",
        "middle_name": "E.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.